First scan post surgery p

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Hi all, 

I am having my first CT scan on Sunday evening, post radical nephroureterectomy in April, and trying not to feel too anxious. My margins were clear after chemo and surgery, but you cannot help but have that little nagging doubt, just trying to stay positive for a good result, then have to have a cytoscopy in September and if clear that’s it for six months. Just wondered if others have same experience and thought panics? 

  • Goid morning  the ‘firsts’ have to be navigated …… on my 24 years incurable cancer journey for I have lots count of the scans I have had, most were good but for me some were bad as I relapsed a good number of times over the first 15 years. In the early days I sat with my great CNS and she was very honest “Mike, you can stress and fret as much as you want when you are coming up to scan time but the reality is you can throw all the stress and anxiety in the world at this and it won’t make any difference to the outcomes but the one certainty is - stress does make you ill…… control the battle between the ears and only worry when you are told there is something to worry about”….. and she has been spot on over all these years.

    I found this article very helpful so I thought you may like to have a look at it. ((Hugs))

    What Is Scanxiety and How Can You Manage It?……. Choose Hope

    The first time you read or hear it, “scanxiety” may look and sound like a funny word. However, when you are going through it, there is nothing funny about this very real condition. From the first MRI following a doctor’s suspicious discovery during a routine exam to the annual PET scan years after an initial diagnosis, the fear and worry that accompanies imaging appointments can take a significant toll on your emotional and mental wellbeing.

    Fortunately, you can take steps to minimise and cope with the sometimes-overwhelming emotions you feel.

    Acknowledge your Feelings

    Don’t try to ignore the way you feel, as this can actually increase your anxiety. Instead, recognise and even embrace your scanxiety. This first step empowers you to take action, move forward and manage your emotions, helping you find peace and feel more in control of your own life.

    Talk about It to the Right People

    Venting your fears and frustrations to people close to you can be a wonderful way to release stress and gain vital support. However, if you have folks in your life who tend to exacerbate your worries or load you up with even more concerns (and really, who doesn’t have that one friend or family member?), avoid sharing too much with them.

    Practice Mindful Living

    Ancient Chinese philosopher Lao Tzu said, “If you are depressed you are living in the past. If you are anxious you are living in the future. If you are at peace you are living in the present.” Look for ways to live in the moment. Hug your little boy and inhale deeply, noting the mingled fragrance of fresh earth and shampoo. Stroke your husband’s face and think about the way his soft stubble brushes your hand. Savour a particularly flavourful meal. Relish in the here and now.

    Distract Yourself

    Find ways to take your mind off the upcoming scan, at least for a while. Dig into a novel or binge watch a series that completely engrosses you. Turn up your favourite music and tackle a chore you’ve been putting off for too long. Hang out with that one friend who has a gift for making you laugh. Schedule some time to enjoy your favourite hobby without interruption. If you have trouble letting go, imagine setting your worries in a “to do later” box and tell yourself you can pick them up when you’re done.

    Ask Questions

    Sometimes, the unknown is the greatest instigator of anxiety. If you are unclear about anything – from what to expect during the scan, to when and how you can expect to receive your results, to what those results might mean - don’t be afraid to ask your doctor. Having a well-defined understanding of what you will or might experience allows you to be better prepared and can even ease your mind.

    Plan for the Worst Outcome…

    Along with knowing what could possibly come of your scan, creating a strategy for the worst case scenario can improve your sense of control. By no means should this be perceived as giving up or being resigning yourself to bad news. Cancer can make you feel powerless, but creating a basic action plan just in case can help  you regain your power as well as your optimism.

    …but Visualise the Best

    Your mind is more powerful than you might realise. Visualisation and guided imagery have been shown to improve your mood, control symptoms or side effects and even boost your immune system. Imagine yourself receiving great news after your scan. Allow yourself to experience the feelings of relief, gratitude and elation. Think about these things as though you are remembering them. Seeing it in your mind’s eye can give you the encouragement you need to overcome your scanxiety.

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

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  • Although my cancer primary was not the same as yours, I remember going back for the first imaging and then later on for first cystoscopy.. I was so anxious even more so than for the surgery and each time it was the same.  I think it is normal to feel like that but that doesn’t help the feelings. Various things helped including talking and the opposite, just making myself very comfortable and listening to music or stories through earphones. Have you spoken to Macmillan support line?  They start at 8am. I am thinking of you and hope that Sunday comes quickly for you and that the outcome is as you want it to be. x

  • Hi Mike, thank you again for your wise words, I have just received my second reminder via text! Technology has certainly come on, Sunday will be a long day but feeling more positive now.

  • Hi MaryQ,

    thank you for replying, it makes such a difference to have those who understand reply. I am hoping I will receive results before I go on holiday 1st September, had to cancel original holiday as clashed with my op, but Cornwall is calling. My CNS is just brilliant and will let me know asap, I then am due a cytoscopy in September to check bladder still clear, so everything crossed I can look forward to Christmas this year x